| Jonathan R Abraham, Dds | |
|
3814 Maccorkle Ave Se Charleston WV 25304-1528 | |
| (304) 925-0322 | |
| (304) 925-2337 |
| Full Name | Jonathan R Abraham, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3814 Maccorkle Ave Se, Charleston, West Virginia |
| Authorized Official Name and Position | Jonathan Robert Abraham (OWNER DENTIST) |
| Authorized Official Contact | 3049250322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan R Abraham, Dds 3814 Maccorkle Ave Se Charleston WV 25304-1528 Ph: (304) 925-0322 | Jonathan R Abraham, Dds 3814 Maccorkle Ave Se Charleston WV 25304-1528 Ph: (304) 925-0322 |
| NPI Number | 1316330210 |
|---|---|
| Provider Enumeration Date | 03/17/2015 |
| Last Update Date | 03/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316330210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3622 (West Virginia) | Primary |
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